NPIMap

Organization Active NPI

SP Lee LLC

  • Skilled Nursing Facility
  • Pennington Gap, VA
National Provider Identifier
1659340537
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2746 Issued in VA
Legal business name
SP LEE LLC
Practice address
208 Health Care Dr
Pennington Gap, VA 24277-2854
Phone
(276) 546-4566
Fax
(276) 546-6818
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Anthony Alesantrino
Title
Chief Financial Officer
Phone
(540) 725-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2746 VA Primary

Addresses

Primary practice location

208 Health Care Dr
Pennington Gap, VA 24277-2854

Mailing address

5372 Fallowater LN
Suite 200
Roanoke, VA 24018-0907
Phone (540) 725-8910

Other identifiers 3

IdentifierTypeStateIssuer
004953525MedicaidVA
144883OtherMEDIGAP # MEDICARE B
198187OtherVAANTHEM/BLUE CROSS

Other names 1

  • Lee Health & Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000031 VA Part A Provider - Skilled Nursing Facility 2163521378 Practice locations: Pennington Gap, VA

Skilled nursing facility certification: CCN 495352

Legal name
SP LEE LLC
Doing business as
LEE HEALTH & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 2, 2001
Last certification
Mar 6, 2025
Beds
110
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Commonwealth Care of Roanoke
Organization structure
LLCProprietary
Incorporated
Jan 11, 1999 in VA
Enrollment address
208 Health Care Dr
Pennington Gap, VA 24277-2854
Nursing home name
LEE HEALTH AND REHAB CENTER
Affiliated entity
COMMONWEALTH CARE OF ROANOKE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lee Health And Rehab CenterCCN 495352
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 2, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
110106.8 residents per day on average
Chain
Commonwealth Care of Roanoke12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0989910Lee Health and Rehab Center208 Health Care Drive, Pennington Gap, VA 24277Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brady Sheffer Individual 5% Or Greater Indirect Ownership InterestOwner Aug 7, 2001 20%
James Petrine Individual 5% Or Greater Indirect Ownership InterestOwner Aug 7, 2001 18%
Lury Goodall Individual 5% Or Greater Direct Ownership Interest Aug 7, 2001 20%
Charles Rehnborg Individual W-2 Managing EmployeeAdministrator Jan 13, 2022 100%
Deborah Petrine Individual 5% Or Greater Indirect Ownership InterestChairman & Ceo Aug 7, 2001 18%
Corporate Officer Aug 7, 2001
DJ Petrine LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Jan 11, 1999 40%
Joe Alesantrino Individual Corporate Officer Jun 1, 2019
Patricia Stallard Individual 5% Or Greater Direct Ownership Interest Aug 7, 2001 20%
David Tucker Individual Corporate OfficerPresident/Coo Jul 1, 2006
Bdsheffer LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Jan 11, 1999 20%
Commonwealth Care of Roanoke Inc Organization, Roanoke, VA Corporation Operational/Managerial Control Jun 14, 2007

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1659340537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 FALLOWATER LN",
            "address_2": "SUITE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180907",
            "telephone_number": "540-725-8910",
            "fax_number": "540-725-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HEALTH CARE DR",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772854",
            "telephone_number": "276-546-4566",
            "fax_number": "276-546-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP LEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "ALESANTRINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "540-725-8910"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004953525",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIGAP # MEDICARE B",
            "identifier": "144883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BLUE CROSS",
            "identifier": "198187",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennington Gap, VA

Sources for this page

Verify at the official NPI Registry.